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SOTB (05-5236)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht-4 4Q" Application Number: C05-00005236 Property Address: 81400 NATIONAL DR APN: 76.7-570-007- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 200 Applicant: Architect or Engineer: p (P BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed'under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - License Class::wBC27 C53 icense'No.: 810111 /ate/•G:�t tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law *does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the'property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed ' pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: .Au" Lender's Address: I I' LQPERMIT Owner: KENYON ROBERT 81400 NATIONAL DRIVE LA QUINTA, CA 92253 Contractor: PICASSO POOLS, INC 78078 COUNTRY CLUB DR, #206 PALM DESERT, CA 92211 (760)345-4600 Lic. No.: 810111 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/05 DIC 012005 CITY OF LA QUINTA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance,of the work for which this permit is �/ issued. K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1709395 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that; if I should become "subject to the workers' compensation provisions of Section � 3(700 of the Labor Code, I shall forthwith comply with those provisions. DatLYS plicant:� WARNING: SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety *for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject .permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon t above-mentioned property for inspection purposes. ' / � nature (Applicant,or Agent): w Application Number . . . 05-00005236 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 15.75 Plan Check Fee 3.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/29/06 Qty Unit'Charge Per Extension BASE FEE 15.00 1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ..75 Permit PLUMBING Additional desc Permit -Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation 0 Expiration Date 5/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 • 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments STUB FOR GAS & ELECTRIC FOR FUTURE APPROVED APPLIANCE. Fee summary Charged Paid Credited Due Permit Fee Total 33.75 .00 .00 33.75 Plan Check Total 8.44 .00 .00 8.44 Grand Total 42.19 .00 .00 42.19 LQPERN1IT 34'-v a 4 39'-6"ILE. P/B JP/B 0 P/B Fp-,B LOT 37 NORMAN EST. KENYON RESIDENCE E I � r I ) i t m CITY OF LA A APPROVEDBUILDING & SAFETY DEPT. FOR CONSTRUCTION f -(95 -Ry -IS7 p<'cice- MA IIIIIIIII Ilk lo��iii I LIC #810111 P 1 APF( -S AREA: PERIMETER: DEPTH: SF .�S _ 447 sf 113 If 1-3, , SPA SPECS SIZE: AREA: RAISED @: SPILL TYPE: # OF JETS: LIGHTS: FACE FINISH: 48 � — +18„ STACKED STONE ACCESS: ELEVATION: DEEP RAMP: BENCH/TAN-LEDGE: CONC/SOD REMOVAL TREE REMOVAL: IRRIGATION REPAIR: RBB LENGHTS: ROCK POCKETS: PLUMBING FILTE POOL PUM BOOSTER PUM H EATE TIME CLOC POOL CONTR RETURN INLET SKIMME AUTO-FIL GAS LIN STUB OUT CASCADE SPRAYHEAD POOL LIGHT SPA LIGHT PLUMBING SIZ STUB SET E O U w M R:020 0 SF 2 - 2HP P: z P: O R: 4000 000 BT Q K: n QUA LOGIC SALT CHLORINATOR PGRADED INDOOR POOL CONTRO OUNTED SPA CONTROL z S: w R: a L: E: a S: o S: O S. a S: S: E: Q: GUNK POOL B N R 2nd STEP: LOVE SEAT: SPILLWAY TYPE: CANTILEVER: COPING: RBB:SEE STEEL TILE TILE WATE TILE RB TYPE: RLINE TRIM: B TILE: DECIQNG COL SQ FT: FINISH: WALK WAY: CANTILEVER: DECK DRAINS: DECCO DRAIN: CURB CORE: STEPS: STEPS FACE: SUB BASE: VISQUEEN: BANDING: STAMPED: RELEASE: MOW STRIP: MASONRY COPING TYPE- RBB Yi� RBB FACE: SPILLWAY: STEPS: P/L EXT WALLS: PLANTER WALLS: RETNG WALLS: EQ WALLS: GATE TYPE: R&R GATE: BBQ SIZE: BBQ MODEL: TOP FINISH: SIDE BURNER: FACE FINISH: PEN LIGHT: PLUG OUTLET: LIGHTS SWITCH: PLASTER PLASTER COLOR: PEBBLE COLOR POOL LIGHTS SPA LIGHTS: ROLLED BOND BEAM EYEBALLS: ADDRESS: 81-400 NATIONAL DR. � 0 w wW � cn �_ m_ o = O O F- a o_ Ln W J Ww a n. u) U) cn D w 3} E zQ U F- ¢ J z W 00Fnw c)acn0 cn — ,~r,~ww Un -u - U) z w WO u- F- F- ¢ U Of ¢ J IZ W W ¢ z_ Z W?> FS �O W= JJ z°0 ©O a0 Ww U-5 FIn U LL � g ¢ O 'a z 00 w z_ a � OU _ Q U az o Q U) o � _ m Z �W of z wz U Co o w oWLy W �� a F=-mUQviO � 0--)Z :m¢w 9CL )0o >� �w ¢og D z J O O a W_ FW- J d m 0 °- Z Q p W W O W z g ry woo W W¢� 0w~ �w ¢ w O m a w w w J_ m z O w zw O� � W a= U� Oo J a � W zof wU �z of ww< z 0 CD LOT# 37 TBI# REVISIONS: (1) DATE: (2) DATE: (3) DATE: Date Printed 1/811= 1' Scale 2:28 PM 11/21/05 �Z�